Scavo Optometric Group, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SCAVO OPTOMETRIC GROUP, INC.

Practice address

21540 Hawthorne Blvd. , # 539
Lenscrafters - del Amo Fashion Center
Torrance, CA 90503-5707

Phone

(301) 370-0016

Fax

(310) 370-1850

NPI assigned

Aug 16, 2017

Last updated

Aug 16, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nickolas Anthony Scavo, O.D.NPI 1164491478

Title

President

Phone

(714) 624-4042

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nickolas Anthony Scavo, O.D.

  • Optometrist
  • Fullerton, CA
  • NPI 1164491478
  NPD (past) Authorized official
• Jaymie Niida, OD

  • Optometrist
  • Torrance, CA
  • NPI 1073035143
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1538685086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24673 LAS PATRANAS",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928875114",
            "telephone_number": "714-624-4042",
            "fax_number": "714-692-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21540 HAWTHORNE BLVD. , # 539",
            "address_2": "LENSCRAFTERS - DEL AMO FASHION CENTER",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035707",
            "telephone_number": "301-370-0016",
            "fax_number": "310-370-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCAVO OPTOMETRIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "SCAVO",
        "authorized_official_first_name": "NICKOLAS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-624-4042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Madeline Louise Scannell
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• Linda Ellen Schack, MD
• Emily Schafer, MA, LMFT
• Danny J Schakel, OTR/L
• Amy Schallmann
• James N Scharffenberger, MD

• Optometrist in Torrance, CA
• Providers in Torrance, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.